| Sue Hall's Place To Grow Llc | |
|
6015 E Superior St Duluth MN 55804-2538 | |
| (218) 464-4688 | |
| (218) 464-4449 |
| Full Name | Sue Hall's Place To Grow Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6015 E Superior St, Duluth, Minnesota |
| Authorized Official Name and Position | Susan Ruth Hall (OWNER LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2184644688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Hall's Place To Grow Llc 6015 E Superior St Duluth MN 55804-2538 Ph: (218) 464-4688 | Sue Hall's Place To Grow Llc 6015 E Superior St Duluth MN 55804-2538 Ph: (218) 464-4688 |
| NPI Number | 1124448493 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124448493 | NPI | - | NPPES |
| 1417009804 | Other | MN | NPI |
| 729724600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP3509 (Minnesota) | Primary |
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